Vincent Valino Ayroso, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A9063 Issued in CA

Practice address

12751 Harbor Blvd
Garden Grove, CA 92840-5800

Phone

(714) 636-7852

Fax

(714) 636-0928

NPI assigned

Jul 6, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1891993168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24101 HIGH KNOB RD",
            "address_2": "C",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654263",
            "telephone_number": "562-228-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405800",
            "telephone_number": "714-636-7852",
            "fax_number": "714-636-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYROSO",
        "first_name": "VINCENT",
        "middle_name": "VALINO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Axelrad
• Anne Cathryn Axelson
• Ayala Marcela DDS Corp
• Janelle Ayala- Franco
• Fabiola Eunice Ayala
• Fnu Ayushmaan
• Yeran K Aywazian, D.C.
• Zeneth Aziz
• Naomi Azpeitia
• Azure Hospice Care Inc

• Family Medicine Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.